RICHARD D FERNANDEZ (NPI# 1558351437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558351437 |
| Entity Type | Individual |
| Full Name | RICHARD D FERNANDEZ |
| Credential | MD |
| Practice Address |
311 West 8th Street Rome GA 30165 |
| Practice Telephone | 7062918702 |
| Practice Fax Number | 7062916514 |
| Mailing Telephone | 7062918702 |
| Mailing Fax Number | 7062916514 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
ME004673 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
ME004673 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
ME004673 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZI0100X |
Pathology Specialization: Immunopathology |
ME0046703 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZM0300X |
Pathology Specialization: Medical Microbiology |
ME0046703 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
ME004673 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME004673 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0104X |
Pathology Specialization: Chemical Pathology |
ME004673 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
78559 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | G08967A | 05 | |
| FL | BCBS FL | L9266 | 01 |
| FL | 042116200 | 05 | |
| FL | BCBS OF FLORIDA | 79997 | 01 |
| FL | AETNA | 4122532 | 01 |
| FL | RAILROAD MEDICARE | P00745220 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518148543 | Richard Elias Fernandez | Clinical Neuropsychologist | 223 East Flagler St, Suite 432, Miami, FL 33131 | 2007-11-19 |
| 1851519599 | Richard C Fernandez | Speech-Language Pathologist | 401 Ocean Ave, Suite 201a, Melbourne Beach, FL 32951-2558 | 2007-04-20 |
| 1629502935 | Richard Anthony Fernandez | Student in an Organized Health Care Education/Training Program | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2017-04-13 |
| 1598208670 | Richard Joseph Fernandez | Physical Therapist | 455 W 4th St Ste 10, Fostoria, OH 44830-1864 | 2016-11-22 |
| 1376709360 | Richard Paul Fernandez | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2008-07-30 |
| 1265541346 | Richard Fernandez | Specialist | 1 Daniel Burnham Ct, Suite 365c, San Francisco, CA 94109-5455 | 2006-08-30 |
| 1235110057 | Richard L Fernandez | Internal Medicine | 9210 Sw 72nd St, Ste 100, Miami, FL 33173-3274 | 2005-11-09 |
| 1376530113 | Richard E Fernandez | Radiology | 99 Highway 37, Toms River, NJ 08755-6423 | 2005-10-05 |
| Street Address |
311 WEST 8TH STREET |
| City | ROME |
| State | GA |
| Zip Code | 30165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942361688 | Paul B Hillesheim | Pathology | 311 West 8th Street, Rome, GA 30165 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868775 | Heather Bowman | Physical Therapist | 600 Eagle, E Lake Dr, Rome, GA 30165 | 2020-07-13 |
| 1205451101 | Kristopher Nelson | Student in an Organized Health Care Education/Training Program | 4256, 304 Shorter Ave Nw #201, Rome, GA 30165 | 2020-06-16 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1386001055 | Autumn Streetman | Counselor | 6 Mathis Drive, Rome, GA 30165 | 2016-01-26 |
| 1144695784 | Gabrador Milligan | Counselor | 6 Mathis Road, Rome, GA 30165 | 2015-12-08 |
| 1386041952 | Theresa Suits | Registered Nurse | 1 Woodbine Avenue, Rome, GA 30165 | 2014-11-26 |
| 1942561147 | Nicole C. Christian | Clinical Neuropsychologist | 305 Redmond Rd, Rome, GA 30165 | 2012-06-04 |
| 1679832711 | Niki Pareshkumar Bhavsar | Internal Medicine | 3041 Turner Mccall Blvd, Rome, GA 30165 | 2012-05-10 |
| 1285927491 | Amanda Fischer Reeves | Family Medicine | 304 Shorter Ave Nw Ste 102, Rome, GA 30165 | 2011-05-20 |
| 1033436647 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 4 Coosawattee Ave, Rome, GA 30165 | 2010-04-23 |
| Find all providers in zip 30165 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1194348193 | Nicole Rita Darius | Pathology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-05-26 |
| 1386007680 | Scott Michael Krummey | Pathology | 1364 Clifton Rd Ne, Room H183, Atlanta, GA 30322-1059 | 2016-04-04 |
| 1649560897 | Joyce Dian Essien | Pathology | 381 Forest Pkwy, Suite B, Forest Park, GA 30297-2165 | 2011-04-08 |
| 1790951325 | Ross M Fasano | Pathology | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 | 2008-05-04 |
| 1619086790 | Elizabeth J. Manaloor | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1134239783 | Lloyd O. Cook | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| 1588690507 | Brian Andrew Webber | Pathology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-06-23 |
| 1356309058 | James C. Zimring | Pathology | 101 Woodruff Circle, Suite 7301, Atlanta, GA 30322-0001 | 2006-05-02 |
| 1962464974 | Gurmukh Singh | Pathology | 1120 15th St, Augusta, GA 30912-0004 | 2006-04-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.